Development of a Measure of Physician Engagement in Addressing Racial and Ethnic Health Care Disparities

Alexander, G. Caleb; Shang, Lin; Sayla, Maliha A.; Wynia, Matthew K.

doi:10.1111/j.1475-6773.2007.00780.x

Cited by 14 publications

(13 citation statements)

References 6 publications

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“…Also, involvement is associated with one's awareness (Go®man, 1963). Thus, awareness is postulated as a prelude to involvement in certain activities (Pasek et al, 2006;Berry and Workman, 2007;Alexander et al, 2008;Brade and Bent-Goodley, 2009). In addition, awareness comes before or prompts interactivity between communicators (Willingham, 2004).…”

Section: Hypothesesmentioning

confidence: 99%

Towards Understanding the Perceptions of Information Professionals about Competitive Intelligence Work

Jin

2014

J. Info. Know. Mgmt.

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Little is known about how information professionals perceive themselves in the competitive intelligence (CI) work domain. There is a dearth of scholarly attention on their social identities in CI, their involvement with CI, and how their engagement impacts the usage of corporate information agency resources by CI practitioners. The goal of this study is to create a benchmark knowledge base addressing these issues. We devel-oped¯ve constructsawareness of CI functioning in the organisation, perceived identity toward CI, perceived involvement in CI work, frequency of interactivities with CI practitioners, and perceived usage of corporate information agency resourcesand attempted to propose and validate a causal model connecting these constructs. Data were collected through a survey of 86 information professionals, and analyzed using descriptive statistics and partial least squares (PLS). Our major¯ndings include: few respondents identi¯ed themselves exclusively as CI professionals; the respondents collectively had a low CI-involvement level; perceived identity in°uenced perceived involvement; and both perceived involvement and frequency of interactivities in°uenced the usage of corporate information agency resources. Thesē ndings could in°uence the design of future CI programs and the education programs for new information professionals.

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Section: Hypothesesmentioning

confidence: 99%

Towards Understanding the Perceptions of Information Professionals about Competitive Intelligence Work

Jin

2014

J. Info. Know. Mgmt.

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“…Within the Commission are four working committees: Data/Information Gathering Advisory Committee to identify data needs of physicians to help them understand the scope of the disparities problem, Workforce Diversity Advisory Committee, Professional Awareness Advisory Committee, and Education and Training Advisory Committee. The Commission has developed a tool for assessing physician experiences and physician views on care of ethnic and racial minority patients 11, 12. In addition, the Commission has studied the implications of pay-for-performance for health care disparities,13 and it has adopted a “Doctors Back to School” program (http://www.ama-assn.org/ama/pub/physician-resources/public-health/eliminating-health-disparities/doctors-back-school/doctors-back-school-kit.shtml).…”

Section: The Commission To End Health Disparitiesmentioning

confidence: 99%

Eliminating health disparities: What have we done and what do we do next?

Apter

Casillas

2009

Journal of Allergy and Clinical Immunology

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Keywords health disparities; asthma; workforce diversityThe United States, one of the richest countries in the world, spends more than any other on health care, but does not provide the best nor does it provide healthcare equally. Much of this inequity stems from vast socioeconomic inequalities. 1 Conversely, improving the overall health of our citizens depends in large part on eliminating health disparities. 2 Although we face a battered economy, there is new attention to this problem and to diversifying the workforce; there is new hope that these disparities can be addressed.As detailed in our Journal, asthma, a treatable condition and the most common chronic disease of childhood, is one in which disparities in care and outcome are prominent. [3][4][5] This issue of the Journal is devoted to describing health disparities, particularly as they apply to the management of asthma, along with a discussion of proposals for enhancing the care that we can deliver as a community. Three commentaries emphasize the multiple factors and levels of complexity that converge to form the disparity in health care that we have witnessed. 6-8 Bryant-Stephens points out that although the prevalence of asthma is greater for Blacks than non-Latino Whites, the disparity in morbidity is far greater. Most disturbing is her reference to the Six City Study that found that even after controlling for factors anticipated to explain disparities such as environmental exposures, parental history, and demographic factors; Black children still had 1.6 times the odds of asthma diagnosis when compared to non-Latino White children. 9 What are these other factors? Arguably, some are combinations of those multi-level factors presented by Canino et al. 7 They could include other neighborhood exposures or effects of poverty not characterized in the study, problems with access to medications and health care, or health practice factors to name only a few of the possibilities. Both Bryant-Stephens and Valet et al comment on the burden of asthma for rural minority populations. Valet et al conducted an interesting analysis showing that differences in outcomes for rural versus urban dwellers is not well-established; however, in both rural and urban areas of the United States, poverty is associated with poorer health outcomes. Impoverished rural African Americans may have increased risk for poor asthma outcomes, but this requires further study. Together these three articles emphasize that health disparities operate through direct and indirect effects of unrelenting poverty on health.

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“…Appraisals about who is sufficiently engaged and levels that create meaningful improvements have depended upon subjective judgements to date. We are aware of only one recent cross-sectional study that included a measure of work engagement in a large improvement program,[26] and two studies that assessed physician engagement with minority patients[27] and with service quality. [3] Within the organizational literature, engagement has been measured as a multidimensional concept comprised of psychological states (e.g., vigour), enduring traits (e.g., personality) and behaviours (e.g., involvement).…”

Section: Introductionmentioning

confidence: 99%

Development and psychometric testing of the clinical networks engagement tool

et al. 2017

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BackgroundClinical networks are being used widely to facilitate large system transformation in healthcare, by engagement of stakeholders throughout the health system. However, there are no available instruments that measure engagement in these networks.MethodsThe study purpose was to develop and assess the measurement properties of a multiprofessional tool to measure engagement in clinical network initiatives. Based on components of the International Association of Public Participation Spectrum and expert panel review, we developed 40 items for testing. The draft instrument was distributed to 1,668 network stakeholders across different governance levels (leaders, members, support, frontline stakeholders) in 9 strategic clinical networks in Alberta (January to July 2014). With data from 424 completed surveys (25.4% response rate), descriptive statistics, exploratory and confirmatory factor analysis, Pearson correlations, linear regression, multivariate analysis, and Cronbach alpha were conducted to assess reliability and validity of the scores.ResultsSixteen items were retained in the instrument. Exploratory factor analysis indicated a four-factor solution and accounted for 85.7% of the total variance in engagement with clinical network initiatives: global engagement, inform (provided with information), involve (worked together to address concerns), and empower (given final decision-making authority). All subscales demonstrated acceptable reliability (Cronbach alpha 0.87 to 0.99). Both the confirmatory factor analysis and regression analysis confirmed that inform, involve, and empower were all significant predictors of global engagement, with involve as the strongest predictor. Leaders had higher mean scores than frontline stakeholders, while members and support staff did not differ in mean scores.ConclusionsThis study provided foundational evidence for the use of this tool for assessing engagement in clinical networks. Further work is necessary to evaluate engagement in broader network functions and activities; to assess barriers and facilitators of engagement; and, to elucidate how the maturity of networks and other factors influence engagement.

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Development of a Measure of Physician Engagement in Addressing Racial and Ethnic Health Care Disparities

Cited by 14 publications

References 6 publications

Towards Understanding the Perceptions of Information Professionals about Competitive Intelligence Work

Towards Understanding the Perceptions of Information Professionals about Competitive Intelligence Work

Eliminating health disparities: What have we done and what do we do next?

Development and psychometric testing of the clinical networks engagement tool

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